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Anticoagulation in Left Ventricular Non Compaction : a Veritable Controversy !

Author: Hanane Boussima, Badr El Boussaadani, Jamila Zarzur, Mohamed Cherti

Category: JMSR Cardiovascular Disease


Non compaction of left ventricular myocardium (LVNC) is a rare congenital cardiomyopathy resulting from an incomplete myocardial morphogenesis that leads to the persistence of the embryonic myocardium. Non compaction of left ventricular myocardium is recognizable by the presence of prominent trabeculations and deep intertrabecular recesses of the left ventricle wall (1) It is not clear whether intertrabecular recesses can lead to thrombi formation, with possible thromboembolic results. Some authors reported a high incidence of embolic events in patients affected by non compaction whereas recently, Stollberger ,Finesterer , Giovannia and others described the thrombus formation as a rare event in these patients. According to these authors, anticoagulant therapy is the most useful method in treating patients affected by chronic heart failure

Keywords: Anticoagulation, Non compaction of left ventricular myocardium, (LVNC), Trabeculum


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